HomeMy WebLinkAbout3910 UNIVERSITY AVE W A T INVOICE DATE DUE DATE INVOICE# TOTAL DUE
O F
`( 06/22/2023 07/25/2023 2023-00011311 $80.00
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Customer#: 21006 Please Make Check Payable and Remit To:
City of Waterloo
ATTN: City Clerk/Accounts Receivable
WALGREENS DRUG STORE#3590 715 Mulberry St
3910 UNIVERSITY AV WATERLOO, IA 50703
WATERLOO, IA 50701
Amount Enclosed:
DETACH AND RETURN TOP PORTION WITH YOUR PAYMENT
KEEP THIS PORTION FOR YOUR RECORDS
COMMERCIAL INSPECTION-3910 UNIVERSITY AVE- 5-25-23 FOR BILLING INQUIRY: (319)291-4323
LDescription ( Total Price
INSPECTION 2,000 $70.00
OCCUPANCY FEE $10.00
CUSTOMER# BILLING DATE DUE DATE INVOICE# CHARGES
21006 06/22/2023 07/25/2023 2023-00011311 $80.00
Less Prepayment $0.00
Total Due $80.00
City of Waterloo
Failure to pay in full debts listed herein within ninety days of the due date will result in an additional twenty-five percent
late fee applied to any outstanding balance. The delinquent account will be forwarded to Municipal Collections of
America for further collection efforts. Debts shall also be subject to collection through the Iowa Department of
Administrative Services Offset Program if not paid in full within ninety days.
WATERLOO FIRE RESCUE ,
INSPECTION REPORT ,, r
WALGREENS,3910 UNIVERSITYAVE,BLDG 3910 UNIVERSITYAVE,WATERLOO IA 50701
DETAILS
Inspection Date:05/25/2023 Inspection Type:Annual Inspection(1Yr) Inspection Number: 10187 ' Shift: N/A Station: N/A
Unit: N/A Lead Inspector:JEFF SIEBEL F Other Inspectors: N/A
VIOLATIONS
No Violations Found
GENERAL NOTES
JEFF SIEBEL-05/05/2023 @ 15:27 annual fire inspection$80
JEFF SIEBEL-05/05/2023 @ 15:27 Fire Sprinkler and Alarm ok until 2/24
NEXT INSPECTION DATE
05/05/2024
CONTACT SIGNATURE
Thane Soderstrom
Signed on:05/30/2023 @ 08:58 e L c),
INSPECTOR SIGNATURE
JEFF SIEBEL
Signed on:05/30/2023 @ 08:59
Printed on 05/30/2023 @ 08:59
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QUESTIONS ABOUT YOUR INSPECTION?
JEFF SIEBEL
Jeff.Siebel@Waterloo-ia.org
3192301224
Printed on 05/30/2023 @ 08:59
Page 2 of 2